Anna F Roth, Shaun Medina, Camille G Fontaine, Elilary Montilla Medrano
{"title":"Adductor and Sciatic Peripheral Nerve Catheters for Schatzker VI Tibial Plateau Fracture: A Case Report.","authors":"Anna F Roth, Shaun Medina, Camille G Fontaine, Elilary Montilla Medrano","doi":"10.1213/XAA.0000000000001822","DOIUrl":null,"url":null,"abstract":"<p><p>Peripheral nerve blocks are typically avoided for high-speed tibial plateau fractures due to their ability to mask the paresthesias and pain associated with the feared complication of acute compartment syndrome (ACS). We present a case in which sciatic nerve and adductor canal catheters were placed utilizing low-volume infusions allowing for neurovascular assessment. These catheters served as a valuable portion of the multi-modal pain regimen in this patient with a Schatzker VI tibial plateau fracture.</p>","PeriodicalId":56372,"journal":{"name":"A&A practice","volume":"18 7","pages":"e01822"},"PeriodicalIF":0.5000,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"A&A practice","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1213/XAA.0000000000001822","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/7/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"ANESTHESIOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Peripheral nerve blocks are typically avoided for high-speed tibial plateau fractures due to their ability to mask the paresthesias and pain associated with the feared complication of acute compartment syndrome (ACS). We present a case in which sciatic nerve and adductor canal catheters were placed utilizing low-volume infusions allowing for neurovascular assessment. These catheters served as a valuable portion of the multi-modal pain regimen in this patient with a Schatzker VI tibial plateau fracture.
高速胫骨平台骨折通常避免使用外周神经阻滞,因为它会掩盖急性室间隔综合征(ACS)这一令人担忧的并发症所带来的麻痹和疼痛。我们介绍了一个病例,在该病例中利用低容量输液置入了坐骨神经和内收肌导管,以便进行神经血管评估。这些导管在这名 Schatzker VI 胫骨平台骨折患者的多模式止痛方案中发挥了重要作用。